K Number
K241529
Date Cleared
2024-11-22

(176 days)

Product Code
Regulation Number
890.3860
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The device is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

Device Description

The subject device, Powered Wheelchair, mainly powered by battery, motivated by DC motor, driven by user controlling joystick and adjusting speed. The Powered Wheelchairs consist of two foldable armrests, a backrest, a seat cushion, a safety belt, a foldable frame, two rear driving wheels with hub motor/electromagnetic brake assemblies, two pivoting casters, two Li-ion batteries, an off-board battery charger, a control panel, and an electric motor controller. The NXN20-209 Powered Wheelchair is intended to provide mobility to a disabled or elderly person limited to a seated position. The Powered Wheelchair has 7 inch front wheel and 12 inch rear tire. The motor of electric wheelchair is DC24V 200W; the battery is 24V 12AH, Li-ion battery; the charger is 24V/3A. Max. loading can not be over than 110Kgs. Max. distance of travel on the fully charged battery is 16.5 km and Max. speed forward is 6km/h. The braking time is about 2s, and the braking distance is less than or equal to 1.76m.

AI/ML Overview

The provided text describes a 510(k) submission for a Powered Wheelchair (NXN20-209). This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than proving clinical effectiveness through a comparative study with a "human-in-the-loop" component as is common for AI/ML-driven diagnostics. The information provided is primarily related to engineering performance and safety standards for the physical device itself.

Therefore, the requested information regarding acceptance criteria and a study that proves the device meets the acceptance criteria, as phrased for AI/ML device performance (e.g., sample size for test set/training set, number of experts, adjudication methods, MRMC studies, standalone performance, ground truth establishment), is not applicable in the context of this traditional medical device submission.

The document states: "No clinical study implemented for the electric wheelchair." This confirms that the typical clinical performance studies asked for in your prompt were not conducted or required for this device's clearance.

Instead of AI/ML-specific performance criteria, the acceptance criteria for this powered wheelchair are based on adherence to recognized international standards for wheelchairs and a comparison of its physical and performance characteristics to a predicate device.

Here's a breakdown of what the document does provide in relation to acceptance criteria and performance:

1. A table of acceptance criteria and the reported device performance:

The document includes two comparison tables (Table 1: General Comparison and Table 2: Performance Comparison) that demonstrate the similarity and conformance of the proposed device to a predicate device and relevant standards. While not "acceptance criteria" in the sense of a specific numerical threshold for a diagnostic outcome, these aspects represent the performance benchmarks the device successfully met.

Table 1 & 2 (summarized and adapted to your request format):

Acceptance Criteria CategorySpecific Metric/StandardReported Device Performance (NXN20-209)Predicate Device (A08) PerformanceRemark/Acceptance Demonstrated By
General CharacteristicsProduct CodeITIITISame (Substantially Equivalent)
Regulation No. (21 CFR)890.3860890.3860Same (Substantially Equivalent)
ClassificationClass IIClass IISame (Substantially Equivalent)
Intended UseMotor driven, indoor/outdoor transportation for disabled/elderly limited to seated positionMotor driven, indoor/outdoor trans. for disabled/elderly limited to seated positionSame (Substantially Equivalent)
Driving systemDirect drive on rear wheelsDirect drive on rear wheelsSame (Substantially Equivalent)
Movement control methodBy Joystick controlBy Joystick controlSame (Substantially Equivalent)
Number of wheels44Same (Substantially Equivalent)
Brake systemAutomatic electromagnetic brake systemElectromagnetic brake systemSame (Substantially Equivalent)
Speed control methodJoystick control methodJoystick control methodSame (Substantially Equivalent)
Performance MetricsISO 7176-1:2014 Static StabilityForward: 18.9°, Rearward: 18.2°, Sideways: 20.7°Not publicly availableBoth devices evaluated according to same standard; differences in static stability will not impact safety and effectiveness.
ISO 7176-4:2008 Cruising Range16.5 km20 kmComplies with ISO 7176-4:2008; differences do not affect safety and effectiveness.
ISO 7176-3:2012 Minimum Braking Distance≤ 1.76m1mSimilar; compliant with standard.
ISO 7176-6:2018 Max Speed Forwards1.66 m/s (6 km/h)1.94m/s (7 km/h)Both devices evaluated according to same standard; differences will not impact safety and effectiveness.
ISO 7176-6:2018 Max Speed Backward0.8 m/s (2.88 km/h)Not publicly availableBoth devices evaluated according to same standard; differences will not impact safety and effectiveness.
Max. loading (weight capacity)242.5 lbs (110 kg)220 lbs (100 kg)Device supports more loading weight without raising new safety/effectiveness concerns.
Min. Turning Radium870mm800mmSimilar performance.
Obstacle climbing25 mm40 mmSmaller height in obstacle climbing will not impact safety and effectiveness.
Software Verification and Validation TestingCompliant with FDA GuidanceIncludedCompliance with FDA guidance for software functions documented.
Safety & MaterialsBiocompatibility of materials contacting userCompliant with FDA Guidance, ISO 10993-1Compliant with ISO 10993-1, FDA Guidance (tests included)Biocompatibility evaluation carried out per ISO 10993-1; no new safety and effectiveness concerns due to differences.
Compliance with EMC standards (IEC 60601-1-2:2020, ISO 7176-21:2009)Performed (Implied by inclusion in Non-Clinical Testing Summary)Performed (Implied by inclusion in Non-Clinical Testing Summary)Test results demonstrated compliance.
Compliance with other ISO 7176 series for safety, fatigue, dimensions etc.Performed and CompliantPerformed (Implied by predicate clearance)Test results demonstrated compliance with numerous ISO standards for wheelchairs.

2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

  • Not Applicable. No human subjects "test set" was used for performance evaluation in the context of an AI/ML algorithm. The testing was non-clinical (bench and engineering tests) based on international standards for mechanical and electrical safety and performance of wheelchairs. The document does not specify a "sample size" for these non-clinical tests in the way one would for a clinical study. Data provenance is implied by the testing standards and the manufacturer's location (China), but not detailed as typical for clinical data.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):

  • Not Applicable. Ground truth, in the AI/ML sense, is not established for this type of device. Performance is determined through objective, standardized engineering tests.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

  • Not Applicable. Not a clinical study requiring adjudication.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

  • Not Applicable. This is not an AI-assisted diagnostic or image analysis device, so MRMC studies are irrelevant.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

  • Not Applicable. This is a physical powered wheelchair, not an AI algorithm. Software verification and validation (standalone) was done for the device's control software, ensuring it functions correctly, but this is distinct from AI/ML performance.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

  • Not Applicable/Objective Standards. The "ground truth" for this device's performance is compliance with established international engineering and safety standards (e.g., ISO 7176 series, IEC 60601-1-2) which define objective, measurable criteria for stability, speed, braking, etc.

8. The sample size for the training set:

  • Not Applicable. No AI/ML training set is mentioned or relevant for this device.

9. How the ground truth for the training set was established:

  • Not Applicable. No AI/ML training set is mentioned or relevant for this device.

In summary: The provided document is for a traditional powered medical device, not an AI/ML-driven diagnostic or imaging device. The "acceptance criteria" and "study that proves the device meets the acceptance criteria" in this context refer to documented compliance with relevant recognized industry standards (primarily ISO and IEC) through non-clinical testing, and demonstrated substantial equivalence to a predicate device.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and consists of the letters "FDA" stacked on top of the words "U.S. FOOD & DRUG ADMINISTRATION".

November 22, 2024

Zhejiang Nysin Medical Co., Ltd. % Boyle Wang Manager Shanghai Truthful Information Technology Co., Ltd. Room 1801, No. 161 East Lujiazui Rd., Pudong Shanghai. 200120 China

Re: K241529

Trade/Device Name: Powered Wheelchair (NXN20-209) Regulation Number: 21 CFR 890.3860 Regulation Name: Powered Wheelchair Regulatory Class: Class II Product Code: ITI Dated: October 21, 2024 Received: October 21, 2024

Dear Boyle Wang:

We have reviewed your section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (the Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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ion, or data verification, provided by the FDA.

Page

2

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatory

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assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Heather L. Dean -S

Heather Dean, PhD Assistant Director, Acute Injury Devices Team DHT5B: Division of Neuromodulation and Physical Medicine Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 07/31/2026 See PRA Statement below.

Submission Number (if known)

K241529

Device Name

Powered Wheelchair (NXN20-209)

Indications for Use (Describe)

The device is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

X Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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K241529 - 510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR 807.92.

1.0 Submitter's information

Name: Zhejiang Nysin Medical Co., Ltd. Address: Building 13, No. 305 Jiulong North Road, Dongcheng District, Yongkang, Jinhua City, Zhejiang Province, China Tel: +86-579-87153722/ +86-18969388822 Contact: Zhang Xiaoying

Designated Submission Correspondent

Mr. Boyle Wang Shanghai Truthful Information Technology Co., Ltd. Room 1801, No. 161 East Lujiazui Rd., Pudong Shanghai, 200120 China Tel: +86-21-50313932 Email: Info@truthful.com.cn

Date of Preparation: Mar.28, 2024

2.0 Device information

Trade name: Powered Wheelchair Common name: Powered Wheelchair Classification name: Powered Wheelchair Model(s): NXN20-209

3.0 Classification

Production code: ITI Regulation number: 21 CFR 890.3860 Classification: Class II Panel: Physical Medicine

4.0 Predicate device information

Manufacturer: Kunshan Aoshida Electric Technology Co., Ltd. Trade/Device: A08 Power Wheelchair 510(k) number: K163204

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5.0 Indication for Use Statement

The device is a motor driven, indoor and outdoor transportation vehicle with the intended use to provide mobility to a disabled or elderly person limited to a seated position.

6.0 Device description

The subject device, Powered Wheelchair, mainly powered by battery, motivated by DC motor, driven by user controlling joystick and adjusting speed.

The Powered Wheelchairs consist of two foldable armrests, a backrest, a seat cushion, a safety belt, a foldable frame, two rear driving wheels with hub motor/electromagnetic brake assemblies, two pivoting casters, two Li-ion batteries, an off-board battery charger, a control panel, and an electric motor controller.

The NXN20-209 Powered Wheelchair is intended to provide mobility to a disabled or elderly person limited to a seated position.

The Powered Wheelchair has 7 inch front wheel and 12 inch rear tire.

The motor of electric wheelchair is DC24V 200W; the battery is 24V 12AH, Li-ion battery; the charger is 24V/3A.

Max. loading can not be over than 110Kgs.

Max. distance of travel on the fully charged battery is 16.5 km and Max. speed forward is 6km/h.

The braking time is about 2s, and the braking distance is ≤1.76m.

7.0 Summary of Non-Clinical Testing

Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

ISO 7176-1:2014 Wheelchairs - Part 1: Determination of static stability

ISO 7176-2:2017 Wheelchairs - Part 2: Determination of dynamic stability of electrically powered wheelchairs

ISO 7176-3:2012 Wheelchairs - Part 3: Determination of effectiveness of brakes

ISO 7176-4:2008 Wheelchairs - Part 4: Energy consumption of electric wheelchairs and scooters for determination of theoretical distance range

ISO 7176-5:2008 Wheelchairs - Part 5: Determination of overall dimensions, mass and manoeuvring space

ISO 7176-6:2018 Wheelchairs - Part 6: Determination of maximum speed,

acceleration and deceleration of electric wheelchairs

ISO 7176-7:1998 Wheelchairs - Part 7: Measurement of seating and wheel dimensions

ISO 7176-8:2014 Wheelchairs - Part 8: Requirements and test methods for static, impact and fatique strengths

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ISO 7176-9:2009 Wheelchairs - Part 9: Climatic tests for electric wheelchairs ISO 7176-10:2008 Wheelchairs - Part 10: Determination of obstacle-climbing ability of electrically powered wheelchairs

ISO 7176-11:2012 Wheelchairs - Part 11: Test dummies

ISO 7176-13:1989 Wheelchairs - Part 13: Determination of coefficient of friction of test surfaces

ISO 7176-14:2008 Wheelchairs - Part 14: Power and control systems for electrically powered wheelchairs and scooters - Requirements and test methods

ISO 7176-15:1996 Wheelchairs - Part 15: Requirements for information disclosure, documentation and labeling

ISO 7176-21:2009 Wheelchairs - Part 21: Requirements and test methods for electromagnetic compatibility of electrically powered wheelchairs and scooters, and battery chargers

ISO 7176-22:2014 Wheelchairs - Part 22: Set-up procedures

ISO 7176-25:2013 Wheelchairs - Part 25: Batteries and chargers for powered wheelchairs

ISO 16840-10:2021 Wheelchair seating - Part 10: Resistance to ignition of postural support devices - Requirements and test method

IEC 60601-1-2:2020 Medical electrical equipment - Part 1-2: General requirements for safety - Collateral standard: Electromagnetic compatibility - Requirements and tests

Software Verification and Validation Testing

Software documentation including verification & validation was provided in accordance with FDA Guidance: Content of Premarket Submissions for Device Software Functions for software.

The Software Validation is in compliance with FDA Guidance.

8.0_Summary of Clinical Testing

No clinical study implemented for the electric wheelchair.

9.0 Technological Characteristic Comparison Table

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ItemProposed devicePredicate deviceRemark
Product CodeITIITISame
Regulation No.21 CFR 890.386021 CFR 890.3860Same
ClassIIIISame
Product namePowered WheelchairA08 Power Wheelchair-
510(k) No.K241529K163204-
ModelsNXN20-209A08-
Intended UseThe device is a motor driven,indoor and outdoortransportation vehicle with theintended use to providemobility to a disabled orelderly person limited to aseated position.It is a motor driven, indoor andoutdoor transportation vehiclewith the intended use toprovide mobility to a disabledor elderly person limited to aseated position.Same
Use environmentIndoor and outdoor useIndoor and outdoor useSame
PatientPopulationThis product is suitable fordisabled people with mobilitydifficulties and elderly people.This product is suitable fordisabled people with mobilitydifficulties and elderly people.Same
Product structureConsist of two foldablearmrests, a backrest, a seatcushion, a safety belt, afoldable frame, two reardriving wheels with hubmotor/electromagnetic brakeassemblies, two pivotingcasters, two Li-ion batteries,an off-board battery charger, acontrol panel, and an electricmotor controller.Consists primarily of afoldable welded-aluminumframes, two sealed transaxlemotors drive system,electromagnetic brakingsystem, electric motorcontroller and two Li-ionbatteries with an off-boardbattery charger.Similar
Driving systemDirect drive on the rear wheelsDirect drive on the rear wheelsSame
Movement controlmethodBy Joystick controlBy Joystick controlSame
Number ofwheels44Same
Brake systemAutomatic electromagneticbrake systemElectromagneticbrake systemSame
Main framematerialCarbon fiberWelded-aluminumDifferentThe differences in themain frame material willot impact the safety andeffectiveness of thesubstantial equivalence.
MotorBrushless motor,DC24V* 200W*2pcsBrushless motor,24 VDC *250W * 2 pcsMinor differences in thedimensions will notimpact the safety andeffectiveness of thesubstantial equivalence.
BatteryDC 24V 12Ah Lithium-ion, 2pcs
Battery chargerOff-board chargerInput: 100-240 VACOutput: DC 24V, 3A

Table1-General Comparison

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Table2 Performance Comparison

ItemSubject DevicePredicate DeviceRemark
ModelNXN20-209A08--
Overall length930mm890 mmMinor differences in thedimensions will not impactthe safety and effectivenessof the substantialequivalence.
Overall width585mm603 mm
Stowagelength740mm324 mm
Stowage width265mm603 mm
Stowageheight720mm670 mm
Weight, w/Battery30.3 lbs. /13.75 kg61.7 lbs. /28 kgThe difference will not raiseany new safety andeffectiveness concerns.
Frontwheel(inch)7(PU solid tire)8(PU solid tire)Smaller sizes of font wheels
Rear tire (inch)12(PU solid tire)10(PU solid tire)Larger sizes of rear wheelsbring steadier pivotingfunction than predicatedevice.
CruisingRange(km)16.520The subject device complieswith ISO 7176-4: 2008Wheelchairs - Part 4: Energyconsumption of electricwheelchairs and scooters fordetermination of theoreticaldistance range, thesedifferences do not affectsafety and effectiveness.
Obstacleclimbing(mm)2540The smaller height in theobstacle climbing will not
impact the safety andeffectiveness of the subjectdevice.
Static stabilityforward18.9°Not publicly availableBoth of the devices areevaluated according tostandard ISO 7176-1:2014,so the different static stabilitywill not impact the safetyand effectiveness
Static stabilityrearward18.2°
Static stabilitysideways20.7°
Max. loading(kg)242.5lbs(110kg)220 lbs (100 kg)More loading weight meansmore convenient for thetransportation
Min. Turningradium870mm800mmSame
Minimumbrakingdistance$≤$ 1.76m1mSimilar
Max SpeedForwards1.66 m/s (6 km/h)1.94m/s (7 km/h)The devices are evaluatedaccording to standard ISO7176-6:2018, so the differentwill not impact the safetyand effectiveness
Max. SpeedBackward0.8 m/s (2.88 km/h)Not publicly availableThe devices are evaluatedaccording to standard ISO7176-6:2018, so the differentwill not impact the safetyand effectiveness
ControllerYanteon Mechanical &Electronic Technology(Shanghai) Co. Ltd.Joystick Y2450MController Y2430MYisheng Electric Co. Ltd ,WS-1, 40ADifferentAlthough different controlleris used, both the controlsystem, including the joystickcontroller, theelectromagnetic brakes andthe user interface are similar.The joystick controls thedirections and speed ofmovement, and when thejoystick is released, thepowered wheelchair will slowdown to stop and the brakeswill automatically re-engage.The controller also providesthe battery status displaying
displaying. Both of the controlsystems are evaluatedaccording to standard ISO7176-14:2008 and softwarevalidation requirement andthere are no new safety andeffectiveness concerns dueto the difference.
Speed controlmethodJoystick control methodJoystick control methodSame

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Table3 Safety Comparison

ItemProposed DevicePredicate DeviceRemark
Materialscontacting userArmrest: PU;Backrest/Seat/Seat belt:Sandwich mesh fabric(polyester)Safety Belt: NylonController Housing: ABSJoystick/button: SiliconeFootplates: ABSArmrest: PU;Backrest/seat cushion: PU foamcovered by nylon fabric clothBiocompatibility evaluationhas been carried out perISO 10993-1. There are nonew safety andeffectiveness concerns dueto the difference.
Biocompatibilityof materialscontacting userComply with FDA GuidanceComply with ISO 10993-1, FDAGuidance, Tests includedCytotoxicity (ISO 10993-5:2009),Sensitization and IntracutaneousReactivity (ISO 10993-10:2010)Same

Summary of substantial equivalence discussion:

The technological characteristics, features, specifications, materials, mode of operation, and intended use of the device substantially equivalent to the predicate devices quoted above. The differences between the subject device and predicate devices do not raise new issues of safety or effectiveness. The differences between the subject device and predicate devices do not raise new issues of safety or effectiveness.

10.0 Conclusion

The conclusions drawn from the comparison and analysis above demonstrate that the proposed device is as safe, as effective, and performs as well as the legally marketed predicated device under K163204.

§ 890.3860 Powered wheelchair.

(a)
Identification. A powered wheelchair is a battery-operated device with wheels that is intended for medical purposes to provide mobility to persons restricted to a sitting position.(b)
Classification. Class II (performance standards).